Antes Danielle Ledur, d'Orsi Eleonora, Benedetti Tânia R Bertoldo
Universidade Federal de Santa Catarina. Florianópolis, Programa de Pós-graduação em Saúde Coletiva, SC, Brasil.
Rev Bras Epidemiol. 2013 Jun;16(2):469-81. doi: 10.1590/S1415-790X2013000200021.
The objective was to investigate the cir-cumstances and consequences of falling and risk factors associated with limitations in performing activities after falling. The study is part of the cross-sectional population based survey, conducted in 2009/2010, which involved 1,705 older adults (60 years and older) living in Florianopolis, SC. From the affirmative answer to the question of whether any falls occurred in the 12 months preceding the study, we investigated the circumstances and consequences of falls through a structured questionnaire. Descriptive analysis and binary logistic regression were used, with significance level of 5%. The prevalence of fall was 19% (14.3% for men and 21.5% for women). Most older adults fell while walking, 43.2% inside their homes. The main cause of falling was stumbling due to irregularities on the ground. 71% of those who fell reported injury, and 14.8% reported limitations in performing activities after the fall. There was a significant association between limitations in performing activities after the occurrence of falls and fractures. Preventing falls should be a public health concern, given that relatively easy changes can reduce the risk of falls.
目的是调查跌倒的情况、后果以及跌倒后活动受限的相关风险因素。该研究是2009/2010年进行的基于人群的横断面调查的一部分，涉及居住在南卡罗来纳州弗洛里亚诺波利斯的1705名老年人（60岁及以上）。从对研究前12个月内是否发生过跌倒问题的肯定回答中，我们通过结构化问卷调查了跌倒的情况和后果。采用描述性分析和二元逻辑回归，显著性水平为5%。跌倒的患病率为19%（男性为14.3%，女性为21.5%）。大多数老年人在行走时跌倒，43.2%是在家中跌倒。跌倒的主要原因是地面不平整导致绊倒。71%的跌倒者报告有受伤情况，14.8%报告跌倒后活动受限。跌倒后活动受限与骨折之间存在显著关联。鉴于相对容易的改变可以降低跌倒风险，预防跌倒应成为公共卫生关注的问题。
